do they have normal moods?no- mood swingscan ECT increase risk of parkisnonsnohow often does ECT happen2-3 times a week for 6 to 12 treatments so 4-6 weeksshould you move a pt with depression to a private roomno- they are risk of self harm and isolatedbetter to move the bipolor patientwhat lab should you do if patient is getting risperidoneglucose- can cause diabetesdefense mechanism of conversionuncosciously converting anxiety into physical symptoms
transferring feeling about illness to another less threatening situationsdisplacementclient demonstrates opposite action of what she is really feelingsreaction formationin the presence of low ____ levels renal excretion of lithium is reduced and client is at risk for toxicityNAso less than 135 is badwhat is tranylcypromineMAOIis bologna okay to eat with MAOIno- processed meetcan you have avocodosnocan a client with MD make informed health desicions and give consentyeswho can not give consentkids less than 18intoxicated- blood alcohol level of .08client with a dose of morphinewhat should you do to help encourage a silent group member to participate in group
divide the group into pairs to discuss a topic, then summarize the discussion to the groupwht should you do if people try to monopolize the discussionencourage the group that everyone should have a chance to participateask the group to share observations of other group members (dont do this for the silent patient)what should you do if a patient exhibits demoralizing or negative behaviorfocus on the group member and emphasize their helpfullness___ increases the likelyhood of family violencesubstance use"my son has a few drinks each night to unwind" is a signclinical findings of mild anxeityrestless, irritable, nail biting, fidgetingsign that valporic acid is workingless pressured speech (remember for bipolar)less insmonialess gradiosea client was admitted as involuntary for substance abuse and is refusing the lorazepam- what do you dodont give it- they still have the right to refuse treatmentwhen the client maintains eye contact and leans forwardshows he trusts the nursechild with conduct disorder is behaving in a destructive manner- throwing things and kicking people- what is highest priority intervention
1. encourage kid to express feelings 2. promote attendance at an assertive training group 3. try relaxing breathing 4. use a therapeutic holding technique 4- hold- need to maintain safety to establish a trusting nurse relationship th enurse should first inform the client that her admission will be confidential (express confidentiality in the initial phase or relationships) what should you do in working phase introduce clients to others in the day room assist the client to make behavioral changes determine coping strategies the client has used in the past dementia patient- useful to help orient them to reality place a large calendar on the wall the tx plan is for a pt with schizo to gain autonomy from his parents. Prior to DC the nurse should plan to
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- Spring '17
- Borderline personality disorder, Avoidant personality disorder, Dependent Personality Disorder , Ati Study Guide